Table of Contents

HK J Paediatr (New Series)
Vol 24. No. 3, 2019

HK J Paediatr (New Series) 2019;24:135-139

Original Article

Non-nutritive Sucking and Nesting Greatly Reduces Pain During Retinopathy Screening in Premature Infants
非營養性吸吮聯合築巢式護理大大降低早產兒眼底篩查時的痛楚

WH Liao, HY Xu, X Zhou, JL Tian, XY Fang, J Ding, C Zeng, HL Wu


Abstract

Purpose: To evaluate the efficacy of non-nutritive sucking combined with nesting in the reduction of pain associated with fundus oculi screening in premature infants. Methods: A randomised clinical trial involving fundus oculi screening was carried out in 120 healthy premature infants. Infants assigned to the intervention group received non-nutritive sucking and nesting, while the control group simply received routine nursing. Pain was assessed using the Premature Infant Pain Profile before and during the eye examination. Simultaneously, we evaluated a range of physiological parameters and crying time. Results: There were no significance differences between the control group and the intervention group in terms of gestational age, corrected gestational age or mean birth weight at retinopathy of prematurity screening. However, the intervention group showed a significantly lower mean Premature Infant Pain Profile score after fundus oculi screening compared to the control group (P<0.05). Significant differences between the two groups were also identified in crying time, heart rate, breathing rate, oxygen saturation, blood pressure and facial expression. Conclusion: Non-nutritive sucking, combined with nesting, alleviated pain in premature infants during retinopathy of prematurity screening, and appeared to provide infants with a feeling of warmth and safety. This technique is worth promoting for use during retinopathy of prematurity screening.

目的:評價非營養性吸吮聯合築巢式護理在降低早產兒眼底篩查相關疼痛的療效。方法:對120例健康早產兒進行眼底篩查隨機臨床試驗。干預組接受非營養性吸吮和築巢護理,對照組僅接受常規護理。使用早產兒在檢查前和檢查期間的疼痛情況來評估疼痛。同時,我們評估了一系列生理參數和哭泣時間。結果:在早產兒視網膜病變篩查中,對照組與干預組在胎齡、糾正胎齡、平均出生體重等方面均無顯著性差異。但干預組眼底部篩查後早產兒平均疼痛評分明顯低於對照組(p<0.05)。兩組在哭泣時間、心率、呼吸頻率、血氧飽和度、血壓和面部表情上也有顯著差異。結論:非營養性吸吮聯合築巢護理能減輕早產兒視網膜病變篩查過程中的疼痛,並能給早產兒帶來溫暖、安全的感覺。該技術值得在早產兒視網膜病變篩查中推廣應用。

Keyword : Non-nutritive sucking; Nursing; Premature Infant Pain Profile; Retinopathy screening

關鍵詞:非營養性吸吮、護理、早產兒疼痛、視網膜病變篩查

 
 

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